| NPI | 1265533665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101840567) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 16949) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2020033732) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-12-28 |